Since 2015, the Centers for Medicare & Medicaid Services (CMS) has established several care management programs to improve outcomes and reduce costs for beneficiaries with chronic conditions and higher complexity. These include:

Software should make meeting compliance and value-based care contracting requirements seamless. ThoroughCare was built to not only meet CMS’s care management program requirements, but our existing tools and capabilities were designed to support value-based care coordination and contracting no matter the payor.

Since the Centers for Medicare & Medicaid Services (CMS) began covering Annual Wellness Visits (AWV) in 2011, the value of this yearly assessment has continued to increase.

Understanding the socioeconomic needs of your patients is crucial for improving their overall health outcomes. Deprivation of basic necessities like food, housing, clean water, transportation, and employment, among other challenges, can have significant adverse impacts on even healthy patients. This is why it's essential to talk about Social Determinants of Health (SDOH) with your patients in order to identify their unique needs and challenges.

Redox recently released an RPM Market Landscape Report written by Healthcare Strategy Bullpen.

Nearly 50% of Medicare beneficiaries are enrolled in Medicare Advantage plans. Each of those health plans is given a Star Rating, which has become the cornerstone of consumer rankings, performance assessment, and more than $12 billion in Quality Bonus Payments.

Medicare beneficiary statistics demonstrate the need for some level of behavioral health integration with primary care:

In times of emergency, or at the end of life, you might be unable to communicate your medical treatment preferences. Although you may assume that your loved ones know what you would want, that is not always the case.